Edward Dale Cooper in Culver City - General Practice
Edward Dale Cooper - NPI 1396964136
Edward Dale Cooper is a General Practice in Culver City, California. Edward Dale Cooper practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edward Dale Cooper is 1396964136. The last update date is 2007-07-08.
Edward Dale Cooper's current location address is 9918 Venice Blvd, Culver City, California. You can contact this provider via phone number 3108370034 and fax number 3108376773. The mailing address for Edward Dale Cooper is 9918 Venice Blvd, Culver City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Dale Cooper |
|---|---|
| Address | 9918 Venice Blvd, Culver City, California |
| Phone Number | 3108370034 |
| Fax Number | 3108376773 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1396964136 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9918 Venice Blvd |
|---|---|
| City | Culver City |
| State | California (CA) |
| Post Code | 902322719 |
| Phone Number | 3108370034 |
| Fax Number | 3108376773 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 17664 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Edward Dale Cooper by the Centers for Medicare & Medicaid Services?
The Edward Dale Cooper has been issued the NPI (National Provider Identifier) 1396964136, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Edward Dale Cooper's physical address?
The Edward Dale Cooper is physically located at 9918 Venice Blvd, in the city of Culver City, CA, with the postal code 902322719.
What is Edward Dale Cooper's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Edward Dale Cooper's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date was the 1396964136 assigned to Edward Dale Cooper?
The Edward Dale Cooper was issued its 1396964136 on 2007-04-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Edward Dale Cooper's information last updated?
The Edward Dale Cooper's information was last updated on 2007-07-08.
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